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Gym Access IND Essential Plus Silver POS 54
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Gym Access IND Essential Plus Silver POS 54

Overview
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Gym Access IND Essential Plus Silver POS 54 is an individual health health plan issued by Florida Health Care Plan, Inc. and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Flagler county, Florida.

What Type of Health Plan Is This?

This plan is a POS plan, or a Point of Service plan. This plan requires you get a referral from your primary care doctor in order to see a specialist doctor. You pay less if you use providers that are in-network and you pay more if you use those that are out-of-network.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Florida Health Care Plan, Inc.
Plan ID
56503FL1410001
Coverage area
Flagler County, Florida
Phone
Local Phone: 1-386-676-7110
Toll-Free: 1-800-232-0578
TTY: 1-800-955-8771
Plan type
POS
Coverage type
Medical deductible
$2,500
Out-of-pocket maximum
$7,900
Generic drug co-pay
$10
Preferred brand drug co-pay
$30 Copay after deductible
Primary care physician visit cost
$40
Specialist doctor visit cost
$65
Doctor Visits
Primary Care Visit $40
Specialist Visit $65
Emergency Room Visit 30% Coinsurance after deductible
Inpatient Facility Visit 30% Coinsurance after deductible
Inpatient Physician Visit 30% Coinsurance after deductible
Prescription Drugs
Generic Drugs $10
Preferred Brand Drugs $30 Copay after deductible
Non-preferred Brand Drugs $55 Copay after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $2,500
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $5,000
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) Included in Medical
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) Included in Medical
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 99.80%
Premium Child Age 0-14 331
Premium Child Age 18 395
Premium Adult Individual Age 21 433
Premium Adult Individual Age 27 454
Premium Adult Individual Age 30 491
Premium Adult Individual Age 40 553
Premium Adult Individual Age 50 773
Premium Adult Individual Age 60 1,175
Premium Couple 21 866
Premium Couple 30 983
Premium Couple 40 1,107
Premium Couple 50 1,547
Premium Couple 60 2,351
Couple+1 child, Age 21 1,198
Couple+1 child, Age 30 1315
Couple+1 child, Age 40 1,438
Couple+1 child, Age 50 1,879
Couple+2 children, Age 21 1,529
Couple+2 children, Age 30 1,646
Couple+2 children, Age 40 1,770
Couple+2 children, Age 50 2,210
Couple+3 or more Children, Age 21 1,860
Couple+3 or more Children, Age 30 1,977
Couple+3 or more Children, Age 40 2,101
Couple+3 or more Children, Age 50 2,542
Individual+1 child, Age 21 764
Individual+1 child, Age 30 823
Individual+1 child, Age 40 885
Individual+1 child, Age 50 1,105
Individual+2 children, Age 21 1,096
Individual+2 children, Age 30 1,154
Individual+2 children, Age 40 1,216
Individual+2 children, Age 50 1,436
Individual+3 or more children, Age 21 1,427
Individual+3 or more children, Age 30 1,486
Individual+3 or more children, Age 40 1,548
Individual+3 or more children, Age 50 1,768
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types